ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is caring for a client who is in labor and just received epidural anaesthesia. The client's blood pressure is 90/50 mm Hg.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client to their side improves blood flow and corrects hypotension caused by epidural-induced vasodilation. Amnioinfusion is for fetal distress, naloxone is for opioid overdose, and monitoring alone delays intervention.
Extract:
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception.
Question 2 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Increasing calcium intake is advised with medroxyprogesterone due to potential bone density loss, indicating understanding. Injections are every 12-13 weeks, not 8, one shot is given, and spotting is a common side effect not requiring discontinuation.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: A postpartum client needs a diaphragm refit due to vaginal changes after delivery to ensure effectiveness. Gentle soap is correct but not the priority, the diaphragm should stay in for 6 hours, and oil-based lubricants damage it.
Extract:
A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. The mother states, 'No, the baby is too tired to be held.'
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Demonstrating how to hold the newborn respects the mother's concerns while promoting safe feeding and bonding, allowing practice to build confidence. Taking the baby to the nursery, insisting on holding, or pushing breastfeeding disregards her preferences and may undermine trust.
Extract:
A nurse is caring for a client who is in labor and just received epidural anaesthesia. The client's blood pressure is 90/50 mm Hg.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client to their side improves blood flow and corrects hypotension caused by epidural-induced vasodilation. Amnioinfusion is for fetal distress, naloxone is for opioid overdose, and monitoring alone delays intervention.